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Yıl:2012; Cilt: 23; Sayı: 2>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2012;23(2):141-144
Jactatio Corporis Nokturna ve Disosiyatif Bozukluk: Bir Olgu Sunumu
Z Pelin, S Karataş, S Kesebir
Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi
Jactatio corporis nokturna bir çeşit parasomnidir. Uykuda süren ritmik beden hareketleri yenidoğan ve erken çocukluk döneminde sık görülmekte, dört yaşından sonra kendiliğinden çözülmesi beklenmektedir. Bu hareketler erişkin dönemde nadiren sürmektedir. Ritmik beden hareketleri uykunun diğer dönemleri ile karşılaştırıldığında, karakteristik olarak uyanıklıktan uykuya geçiş dönemlerinde ortaya çıkmaktadır. Bazı psikiyatrik hastalıklar uyku ilişkili ritmik hareket bozuklukları (jactatio corporis nocturna) ile birlikte olabilir. Yakın geçmişteki çalışmalar disosiyatif hastalıklarla parasomniler arasında ilişkiden söz etmiştir. Bu olgu sunumunda 33 yaşında nokturnal, tekrarlayıcı, yuvarlanan beden hareketleri ve gün boyu süren yorgunluk bildiren bir erkek hasta ele alınacaktır. Hasta ayrıca kendisi için önemli bazı günleri hatırlamadığını (kızının ameliyatı gibi), bazen gerçekle rüyayı karıştırdığını, kafasında fanteziler kurduğunu ve çoğunlukla kurduğu fanteziler sırasında ruhunun bedeninden yükselip vücudunu ve fantezisini yukarıdan seyrettiğini belirtmiştir. Ayrıntılı nöropsikiyatrik değerlendirme ile hastaya aynı zamanda disosiyatif bozukluk tanısı konmuştur. Video polisomnografi kayıtları tekrarlayıcı ve dairesel beden hareketlerinin REM döneminde ortaya çıktığını göstermektedir.
Jactatio Corporis Nocturna and Dissociative Disorder: A Case Report
Jactatio corporis nocturna is a type of parasomnia. Rhythmic body movements during sleep are commonly observed in infancy and early childhood, and spontaneous resolution is expected after the age of 4 [year]s. Rarely, the body movements persist until adulthood. Rhythmic body movements characteristically occur during the wake-sleep transition period, rather than during other sleep stages. Some psychiatric diseases can co-occur with sleep-related movement disorders. A relationship between parasomnias and dissociative disorders has been recently reported.

Herein we present a 33- [year]-old male with nocturnal repetitive rolling body movements and daytime fatigue. The patient also had loss of memory of some important events (such as the day his daughter underwent surgery), and reported that he sometimes confused reality with dreams had fantasies during which he experienced his spirit rising above to watch his body and fantasy. Detailed neuropsychological assessment showed that the patient also had a dissociative disorder. Video-polysomnographic recordings showed repetitive, rolling body movements that occurred only during rapid eye movement (REM) sleep.

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